Vascular Complications in Lumbar Spinal Surgery: Percutaneous Endovascular Treatment

Journal Article · Sat Jan 15 00:00:00 EST 2000 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709910012· OSTI ID:21083688

Lee, Kyoung Ho; Park, Jae Hyung; Chung, Jin Wook; Han, Joon Koo; Shin, Sang Joon; Kang, Heung Sik ^[1]

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1. Department of Radiology, College of Medicine, Seoul National University, 28 Yongon-dong, Chongno-gu, Seoul, 110-744 (Korea, Republic of)

Four patients underwent endovascular treatment of vascular injuries complicating lumbar spinal surgery. In two patients with massive retroperitoneal hemorrhage, the extravasating lumbar arteries were successfully embolized with microcoils. Two patients with large iliac arteriovenous fistula (AVF) were treated, one with embolization using a detachable balloon and coils, which failed, and the other with placement of a stent graft after embolization of distal runoff vessels, which occluded the fistula.We conclude that acute arterial laceration or delayed AVF complicating lumbar spinal surgery can be managed effectively with selective embolization or stent-graft placement, respectively.

• OSTI ID: 21083688
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 23, Issue 1; Other Information: DOI: 10.1007/s002709910012; Copyright (c) 2000 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
GRAFTS
HEMORRHAGE
INJURIES
PATIENTS
SURGERY